icd 9 code for umbilical hernia repair

by Adah Stanton I 5 min read

CPT UMBLICAL HERNIA REPAIR And ICD Codes

CPT Code CPT Description ICD -9 Procedure
49572 incarcerated or strangulated 5359
49580 Repair umbilical hernia, under age 5 yea ... 5359
49582 incarcerated or strangulated 5359
49585 Repair umbilical hernia, age 5 years or ... 5349
May 1 2022

553.1 Umbilical hernia - ICD-9-CM Vol.

Full Answer

How do you repair an umbilical hernia?

What you can do

  • List any signs or symptoms you or your child has had, and for how long.
  • Bring in a photo of the hernia if signs of the problem aren't always evident.
  • Write down key medical information, including any other health problems and the names of any medications you or your child is taking.
  • Write down questions you want to be sure to ask your doctor.

What is the CPT code for umbilical hernia repair?

  • Type of hernia (inguinal, lumbar, femoral, incisional, ventral, epigastric, umbilical, spigelian)
  • Patient age (infant, child, adult)
  • Patient presentation (initial versus recurrent)
  • Clinical presentation (reducible versus incarcerated or strangulated)
  • Method of repair (open versus laparoscopic)

What is the ICD - 9 code for hernia repair?

Unilateral Repair Of Inguinal Hernia, Not Otherwise Specified. 53.00 is a specific code and is valid to identify a procedure. 2012 ICD-9-CM Procedure Code 53.01. Other And Open Repair Of Direct Inguinal Hernia. 53.01 is a specific code and is valid to identify a procedure. 2012 ICD-9-CM Procedure Code 53.02.

What is the ICD 10 code for umbilical hernia?

  • K40.0 Bilateral inguinal hernia, with obstruction, without gangrene K40.00 …… not specified as recurrent K40.01 …… recurrent
  • K40.1 Bilateral inguinal hernia, with gangrene K40.10 …… not specified as recurrent K40.11 …… recurrent
  • K40.2 Bilateral inguinal hernia, without obstruction or gangrene K40.20 …… not specified as recurrent K40.21 …… recurrent

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What is the ICD 9 code for hernia repair?

53.953.9 Other hernia repair - ICD-9-CM Vol.

What is the PCS code for Umbilical hernia repair?

2022 ICD-10-PCS Procedure Code 0WQF0ZZ: Repair Abdominal Wall, Open Approach.

What is the ICD 10 code for Umbilical hernia?

9 for Umbilical hernia without obstruction or gangrene is a medical classification as listed by WHO under the range - Diseases of the digestive system .

What is the ICD 10 code for hernia repair?

Unspecified abdominal hernia without obstruction or gangrene K46. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM K46. 9 became effective on October 1, 2021.

How do you code hernia repair?

The following CPT codes are used to report hernia repair:49505 – Repair initial inguinal hernia > 5 yrs. ... 49560 – Repair initial incisional or ventral hernia; reducible.49561 – Repair initial incisional or ventral hernia; incarcerated or strangulated.49585 – Repair umbilical hernia, age 5 or older; reducible.More items...•

What is the CPT code for laparoscopic Umbilical hernia repair?

6 New Laparoscopic Hernia Repair CodesCPTDescription49653Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated49654Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducible4 more rows•Apr 12, 2009

How is an umbilical hernia repair?

During umbilical hernia repair, the surgeon makes a small cut of about 2 to 3cm at the base of the belly button and pushes the fatty lump or loop of bowel back into the tummy. The muscle layers at the weak spot in the abdominal wall where the hernia came through are stitched together to strengthen them.

What is umbilical hernia without obstruction or gangrene?

Umbilical hernias in children are usually painless. An umbilical hernia occurs when part of your intestine bulges through the opening in your abdominal muscles near your bellybutton (navel). Umbilical hernias are common and typically harmless.

What is the ICD 10 code for right inguinal hernia?

ICD-10 Code for Inguinal hernia- K40- Codify by AAPC.

What is the CPT code for incisional hernia repair?

Placement of mesh (49568) is an add-on code for incisional or ventral hernia repairs, performed via an open approach. The range of codes that CPT® code 49568 may be reported with is 49560—49566. The facility may bill for mesh in other cases, but there is not a separate physician charge.

What is the ICD-10 code for ASHD?

ICD-10 Code for Atherosclerotic heart disease of native coronary artery without angina pectoris- I25. 10- Codify by AAPC.

What K57 92?

ICD-10 code: K57. 92 Diverticulitis of intestine, part unspecified, without perforation, abscess or bleeding.

What is mesh for hernia repair?

For hernia repair without mesh, Z-No Device is used. For hernia repair with mesh, mesh is considered a device. There are three types of mesh: 1) Most mesh is made of synthetic materials such as polypropylene, polyester, and PTFE; 2) Some mesh is bioengineered from donated human tissue, such as from cadavers, and; 3) Some mesh is bioengineered from animal tissue such as bovine and porcine tissue (eg, PermacolTM Surgical Implant). Although there are three types of mesh, there are currently only two options for the device value. Synthetic meshes use J-Synthetic Substitute. Meshes made of either human and animal tissues currently use K-Nonautologous Tissue.5

Is abdominal wall repair the same as hernia repair?

In general, abdominal wall repair uses the same coding principles and the same code values as hernia repair. An abdominal wall repair is differentiated from a hernia repair by the ICD-10-CM diagnosis codes, not necessarily by the ICD-10-PCS procedure codes.

Is 47563 a CCI code?

There are no CCI Edits between these two codes. However -- if the physician inserts the needle/port through the umbilical defect then the repair is considered part of the 47563 since they would have to close a port site for a laparoscopic surgery anyway.

Is a hernia repair reportable?

According to CCI edits, If a hernia repair is performed at the site of an incision for an open or laparoscopic abdominal procedure, the hernia repair (e.g., CPT codes 49560-49566, 49652-49657) is not separately reportable.

Can you bill an inguinal hernia procedure separately?

They inserted the needle and the port through the umbilical defect so it is part of the inguinal hernia procedure and cannot be billed separately. Not making an additional cut and using the umbilical hernia defect is most likely the best thing for the patient.

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